Skip to main content

Advertisement

Log in

A Pilot Investigation of Mindfulness-Based Stress Reduction for Caregivers of Frail Elderly

  • Original Paper
  • Published:
Mindfulness Aims and scope Submit manuscript

Abstract

Family caregivers may experience psychiatric symptoms associated with the chronic stress of caring for frail elderly. Mindfulness training may mitigate some of the negative health effects related to caregiving, but the relevant literature is sparse. We present data from a small pilot study of mindfulness training for caregivers of frail elderly. Nine women caregivers between the ages of 48 to 73 participated. Eight weekly classes of mindfulness-based stress reduction were minimally adapted to enhance the potential benefits for caregivers. Measures of depressive symptoms, burden, perceived stress, anxiety, general health, and mindfulness were assessed at baseline, at completion of the intervention, and at a 1-month follow-up. Self-reported depression, perceived stress, and burden decreased during the 8-week intervention with further reduction demonstrated after a 1-month follow-up regarding stress and burden while depressive symptoms returned to baseline level. Mindful attention and calmness increased over the course of the study. Qualitatively, participants reported continued use of acquired skills and personal benefits from the training. These preliminary results are supportive of the development of larger controlled trials of mindfulness training for caregivers. Future studies may consider identifying subpopulations of caregivers most likely to benefit from mindfulness, and the potential need for a continuation phase of active group participation following the 8-week training.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Baer, R. A., Smith, G. T., & Allen, K. B. (2004). Assessment of mindfulness by self-report: the Kentucky inventory of mindfulness skills. Assessment, 11(3), 191–206.

    Article  PubMed  Google Scholar 

  • Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45.

    Article  PubMed  Google Scholar 

  • Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., et al. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 15(3), 329–342.

    Article  PubMed  Google Scholar 

  • Beekman, A. T., Deeg, D. J., & Limbeek, J. (1997). Center for Epidemiologic Studies depression scale had high sensitivity and specificity for major depression in older adults. Psychological Medicine, 27, 231–235.

    Article  PubMed  Google Scholar 

  • Carmody, J., & Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine, 31(1), 23–33.

    Article  PubMed  Google Scholar 

  • Cohen, S., & Williamson, G. M. (1988). Perceived stress in a probability sample of the United States. In S. Spaccapan & S. Oskamp (Eds.), The social psychology of health (pp. 31–67). Newbury Park, CA: Sage.

    Google Scholar 

  • Epstein-Lubow, G. P., Miller, I. W., & McBee, L. (2006). Mindfulness training for caregivers. Psychiatric Services, 57(3), 421.

    Article  PubMed  Google Scholar 

  • Epstein-Lubow, G., Davis, J. D., Miller, I. W., & Tremont, G. (2008). Persisting burden predicts depressive symptoms in dementia caregivers. Journal of Geriatric Psychiatry and Neurology, 21(3), 198–203.

    Article  PubMed  Google Scholar 

  • Franco, C., Sola Mdel, M., & Justo, E. (2010). Reducing psychological discomfort and overload in Alzheimer’s family caregivers through a mindfulness meditation program. Revista Española de Geriatría y Gerontología, 45(5), 252–258.

    Article  PubMed  Google Scholar 

  • Gitlin, L. N., Belle, S. H., Burgio, L. D., Czaja, S. J., Mahoney, D., Gallagher-Thompson, D., et al. (2003). Effect of multicomponent interventions on caregiver burden and depression: the REACH multisite initiative at 6-month follow-up. Psychological Aging, 18(3), 361–374.

    Article  Google Scholar 

  • Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry, 4(1), 33–47.

    Article  PubMed  Google Scholar 

  • Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your mind to face stress, pain and illness. New York: Dell.

    Google Scholar 

  • Kabat-Zinn, J., & Kabat-Zinn, M. (1997). Everyday blessings: The inner work of mindful parenting. New York: Hyperion.

    Google Scholar 

  • Ludwig, D. S., & Kabat-Zinn, J. (2008). Mindfulness in medicine. Journal of the Americn Medical Association, 300(11), 1350–1352.

    Article  Google Scholar 

  • McBee, L. (2003). Mindfulness practice with the frail elderly and their caregivers. Topics in Geriatric Rehabilitation, 19(4), 257–264.

    Google Scholar 

  • McBee, L. (2008). Mindfulness-based elder care: A CAM model for frail elders and their caregivers. New York: Springer.

    Google Scholar 

  • Minor, H. G., Carlson, L. E., Mackenzie, M. J., Zernicke, K., & Jones, L. (2006). Evaluation of a mindfulness-based stress reduction (MBSR) program for caregivers of children with chronic conditions. Social Work in Health Care, 43(1), 91–109.

    Article  PubMed  Google Scholar 

  • Mittelman, M. S., Roth, D. L., Coon, D. W., & Haley, W. E. (2004). Sustained benefit of supportive intervention for depressive symptoms in caregivers of patients with Alzheimer’s disease. The American Journal of Psychiatry, 161(5), 850–856.

    Article  PubMed  Google Scholar 

  • Prigerson, H. G., Maciejewski, P. K., Reynolds, C. F., III, Bierhals, A. J., Newsom, J. T., Fasiczka, A., et al. (1995). Inventory of complicated grief: a scale to measure maladaptive symptoms of loss. Psychiatry Research, 59(1–2), 65–79.

    Article  PubMed  Google Scholar 

  • Radloff, L. S., & Teri, L. (1986). Use of the center for epidemiological studies: depression scale with older adults. Clinical Gerontologist, 5, 119–137.

    Article  Google Scholar 

  • Rejeski, W. J. (2008). Mindfulness: reconnecting the body and mind in geriatric medicine and gerontology. The Gerontologist, 48(2), 135–141.

    Article  PubMed  Google Scholar 

  • Santorelli, S. F. (2007). Mindfulness and medicine. Explore (NY), 3(2), 136–144.

    Article  Google Scholar 

  • Schulz, R., & Martire, L. M. (2004). Family caregiving of persons with dementia: prevalence, health effects, and support strategies. American Joural of Geriatric Psychiatry, 12(3), 240–249.

    Google Scholar 

  • Schulz, R., & Sherwood, P. R. (2008). Physical and mental health effects of family caregiving. The American Journal of Nursing, 108(9 Suppl), 23–27.

    PubMed  Google Scholar 

  • Sethabouppha, H., & Kane, C. (2005). Caring for the seriously mentally ill in Thailand: Buddhist family caregiving. Archives of Psychiatric Nursing, 19(2), 44–57.

    Article  PubMed  Google Scholar 

  • Singh, N. N., Lancioni, G. E., Winton, A. S., Wahler, R. G., Singh, J., & Sage, M. (2004). Mindful caregiving increases happiness among individuals with profound multiple disabilities. Research in Developmental Disabilities, 25(2), 207–218.

    Article  PubMed  Google Scholar 

  • Singh, N. N., Singh, S. D., Sabaawi, M., Myers, R. E., & Wahler, R. G. (2006). Enhancing treatment team process through mindfulness-based mentoring in an inpatient psychiatric hospital. Behavior Modification, 30(4), 423–441.

    Article  PubMed  Google Scholar 

  • Singh, N. N., Lancioni, G. E., Winton, A. S., Curtis, W. J., Wahler, R. G., Sabaawi, M., et al. (2006). Mindful staff increase learning and reduce aggression in adults with developmental disabilities. Research in Devevelopmental Disabilities, 27(5), 545–558.

    Article  Google Scholar 

  • Singh, N. N., Lancioni, G. E., Winton, A. S., Singh, J., Curtis, W. J., Wahler, R. G., et al. (2007). Mindful parenting decreases aggression and increases social behavior in children with developmental disabilities. Behavior Modification, 31(6), 749–771.

    Article  PubMed  Google Scholar 

  • Smith, A. (2004). Clinical uses of mindfulness training for older people. Behavioural and Cognitive Psychotherapy, 32, 423–430.

    Article  Google Scholar 

  • Spielberger, C. D., Gorusch, R. R., & Luchene, R. E. (1970). State-trait anxiety inventory. Palo Alto, CA: Consulting Psychologists Press.

    Google Scholar 

  • Waelde, L. C., Thompson, L., & Gallagher-Thompson, D. (2004). A pilot study of a yoga and meditation intervention for dementia caregiver stress. Journal of Clinical Psychology, 60(6), 677–687.

    Article  PubMed  Google Scholar 

  • Ware, J., Jr., Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233.

    Article  PubMed  Google Scholar 

  • Zarit, S. H., & Femia, E. E. (2008). A future for family care and dementia intervention research? Challenges and strategies. Aging & Mental Health, 12(1), 5–13.

    Article  Google Scholar 

  • Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: correlates of feelings of burden. The Gerontologist, 20(6), 649–655.

    PubMed  Google Scholar 

Download references

Acknowledgment

Portions of the data reported in this paper were presented at two annual meetings: the American Association for Geriatric Psychiatry, New Orleans, LA, March 2007 and the Center for Mindfulness in Medicine, Health Care and Society, Worcester, MA, April 2007. Butler Hospital and the Jewish Home and Hospital supported this investigation.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gary Epstein-Lubow.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Epstein-Lubow, G., McBee, L., Darling, E. et al. A Pilot Investigation of Mindfulness-Based Stress Reduction for Caregivers of Frail Elderly. Mindfulness 2, 95–102 (2011). https://doi.org/10.1007/s12671-011-0047-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12671-011-0047-4

Keywords

Navigation